LOWELL DENTISTRY, P.C.
NPI: 1104175702
· LOWELL, IN 46341
· General Practice Dentistry
· NPI assigned 08/29/2012
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | CONAWAY, DAVID (PRESIDENT) |
| NPI Enumeration Date | 08/29/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
61 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
14 |
14 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
31 |
31 |
$0.00 |
| D1110 |
Prophylaxis - adult |
16 |
16 |
$0.00 |